Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Boards Flashcards > LE Ortho > Flashcards

LE Ortho Flashcards

1
Q

A male patient complains of anterior knee pain, especially on going down the stairs. You note that the ROM is full but with pain at end-range. The patella is
noted to have a reduced medial glide. There is also some VMO atrophy and Iliotlblal band tightness. Which would NOT be included in the exercise program for the patient?

a. VMO squats
b.ITB stretching
c. Gluteal setting
d. Patellar taping

A

C. Gluteal setting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Interdigital (Morton’s) neuroma is a benign tumor found most commonly in?

a. 1st interdigital nerve
b. 2nd Interdlgital nerve
c. 3rd interdigital nerve
d. 4th interdigital nerve

A

C. 3rd interdigital nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The 67-year-old male patient came in with a diagnosis of avulsion fracture of the anterior superior liac spine of the pelvis. What muscle might have caused this fracture?

a. Rectus femoris
b. Illopsoas
c. Vastus medlalis
d. Tensor fascia latae
e. Sartorius

A

e. Sartorius

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

On palpation, tenderness under the metatarsal heads is often found in what injury?

a. Fracture
b. Sprain
c. Achilles tendinitis
d. Metatarsalgia
e. Plantar fasciitis

A

d. Metatarsalgia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Contusion to the ASIS due to direct trauma:
a. Trochanteric bursitis
b. ASIS Avulsion fracture
c. Hip pointer injury
d. Snapping hip injury
e. Osteitis pubis

A

c. Hip pointer injury

Contusion of ASIS or iliac crest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Stage 1 of LCPD:

a. Fragmentation
b. Initial/Necrosis
c. Healing
d. Reossification

A

b. Initial/Necrosis

A: 2
C: 4
D: 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Lesion at the inferior pole of the patella is:

a. Panner’s disease
b. Paget’s disease
c. Sinding-Larsen Johansson disease
d. Osgood schlatter’s disease

A

c. Sinding-Larsen Johansson disease

Remember: parang nagsisindi sa baba ng patella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The 76 year old female patient sustained a hip fracture after a fall from her bed. X-rays show a femoral neck fracture and is advised surgery to avoid a complication
common to this area. What is this complication?

a. Avascular necrosis
b. Malunion
c. Osteomyelitis
d. Delayed union

A

a. Avascular necrosis

If pelvic fracture: bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The common pain site of plantar fasciitis is at the:

a. Lateral calcaneus
b. Lateral talus
c. Medial talus
d. Lateral cuboid
e. Medial calcaneus

A

e. Medial calcaneus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The most commonly damaged bursa in the knee is the:

a. Medial bursa
b. Lateral bursa
c. Deep infrapatellar bursa
d. Prepatellar bursa

A

d. Prepatellar bursa

Aka: Housemaid’s knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

With symphysis pubis dysfunction in the pregnant patient with pain, special attention should be paid to which of the following?

a. All of the answers
b. Overactive abductors
c. Underactive adductors
d. Poor spinal stabilizing muscles

A

d. Poor spinal stabilizing muscles

Lax ligaments

B: overactive adductors dapat
C: underactive abductors dapat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A patient is seen walking on the ball of the foot with the heel off the ground on one of his lower limbs. One can conclude that he has.

a. Poliomyelitis
b. Pes valgus
c. Pes equinus
d. Genu varum

A

c. Pes equinus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In post total hip joint arthroplasty patients, which of the following advice will be most useful?

a. Do not overbend the hip up towards the body
b. Any or all of the answers
c. Do not cross the leg over the midline
d. Do not twist in sitting or standing

A

b. Any or all of the answers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

In major pelvic fractures, emergency fixation should be done as life threatening complications of injury may occur. What is the most common complication?

a. Paralysis
b. Bleeding
c. Malunion
d. Infection

A

b. Bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

On palpation of the hip, if you are suspecting a hamstring strain, where is the area where you will concentrate your palpation?

a. Iliac crests
b. PSIS
c. Popliteal fossa
d. Ischial tuberosity

A

d. Ischial tuberosity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Mechanical interruption of the circulation of the femoral head can lead to a condition in which there is pain felt in the groin, proximal thigh, or buttock area, is
usually exacerbated by weight bearing, but it is often present at rest. What is this condition?

a. Trochanteric bursitis
b. Osteoarthritis of the hip
c. Avascular necrosis of the femoral head
d. Septic arthritis of the hip

A

c. Avascular necrosis of the femoral head

Key words: interruption of circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

On examination of a patient with severe knee pain, there is note of knee redness, swelling and warmth. Concomitantly, the patient has febrile episodes. What is this case?

a. Knee OA
b. Infective arthritis
c. Torn ACL
d. Knee bursitis

A

b. Infective arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

On examination of a young male athlete with knee pain, he notes that the pain behind his kneecap is noted more so when he is going down the stairs. What
pathology do you consider?

a. Chondromalacia patella
b. Patellar bursitis
c. Patellar tendonitis
d. Torn meniscus

A

a. Chondromalacia patella

Aka: Patellofemoral Pain Syndrome/ Patellofemoral Arthralgia/ Runner’s knee

May kiskisan sa articulating surface of the patella

Code: ChondRUN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The 67 year old male patient came in with a diagnosis of avulsion fracture of the anterior iliac spine of the pelvis. What muscle might have caused this fracture?

a. Iliopsoas
b. Vastus medialis
c. Tensor fascia lata
d. Rectus femoris

A

d. Rectus femoris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The 20 year old athlete friend of yours has pain on the inside of the knee and he says it hurts when he is doing sideways movements. This may be because of ____.

a. Torn medial collateral ligament
b. Torn medial meniscus
c. Torn anterior cruciate ligament
d. Torn lateral collateral ligament

A

a. Torn medial collateral ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Your patient has anterior compartment syndrome with foot drop. The nerve most likely affected is:

a. Common peroneal nerve
b. Deep peroneal nerve
c. Tibial nerve
d. Fibular nerve
e. Sciatic neve

A

b. Deep peroneal nerve

22
Q

The portion of the achilles tendon that is usually affected in achilles tendinitis due to hypovascularity:

a. Upper portion
b. Lower portion
c. Midportion
d. Outer portion

A

c. Midportion

23
Q

The following are presentation of coxa valga:
I. Posterior pelvic rotation
II. Lengthening of the ipsilateral leg
III. ER of hip
IV. Pronated foot

a. I, II, III
b. III and IV
c. I, II, III
d. IV only

A

a. I, II, III

24
Q

A snowmobile left the trail and struck a tree. The driver’s left knee was flexed approximately 90 degrees and the tibia impacted with the inside front of the
snowmobile. What would this mechanism of injury. MOST LIKELY result in?

a. Dislocated patella
b. Sprained or ruptured posterior cruciate ligament (PCL)
c. Sprained or ruptured anterior cruciate ligament (ACL)
d. Rupture of the popliteal artery

A

b. Sprained or ruptured posterior cruciate ligament (PCL)

25
Q

A 7-year-old child presents in the clinic with a limp. He complains of pain in the groin that radiates to the medial thigh and inner aspect of the knee. You noted a
positive trendelenburg sign during the evaluation. What is the most likely diagnosis?

a. Congenital dislocated hip
b. Legg-Calve-Perthes disease
c. Slipped capital femoral epiphysis
d. Fractured femoral head

A

b. Legg-Calve-Perthes disease

26
Q

Inflammation of the FHL tendon secondary to overuse:

a. Turf toe
b. Dancer’s tendinitis
c. Splay foot
d. Sever’s disease

A

b. Dancer’s tendinitis

27
Q

You have been asked to fabricate a splint for a one month-old infant with congenital hip dislocation. In what position should the hip be replaced while in the splint?

a. Flexion and abduction
b. Flexion and adduction
c. Extension and adduction
d. Extension and abduction

A

a. Flexion and abduction

28
Q

Following a displaced femoral neck fracture, your patient underwent THR. You examine a client seven days status post total hip replacement. The client’s medical record indicates the surgeon utilized an
anterolateral surgical approach. Which of the following motions would be the most important to restrict during the initial phase of rehabilitation?

a. knee extension
b. knee flexion
c. hip external rotation
d. hip internal rotation

A

c. hip external rotation

29
Q

This condition presents with clicking or popping sound that occurs during running and dancing activities. This is thought to be because of the iliopsoas tendon riding
over the greater trochanter or anterior acetabulum. What is this condition?

a. Subtrochanteric bursitis
b. Snapping hip syndrome
c. Ischiogluteal bursitis
d. Trochanteric bursitis

A

b. Snapping hip syndrome

30
Q

The patient with a torn meniscus of the knee would present with what type of end feel on ROM of the knee?

a. Springy block
b. Empty feel
c. Capsular feel
d. Bony block

A

a. Springy block

31
Q

Prepatellar bursitis is common in activities such as:

a. Carpet laying
b. Gardening
c. Wrestling
d. All of the above

A

d. All of the above

32
Q

A 25-year-old patient complains of pain and weakness in the lower leg, aggravated by jumping or running activities. The pain is located in the posterior ankle with minor swelling and tenderness. Active dorsiflexion is painful and limited.

a. Achilles tendinitis
b. Shin splints
c. Ankle sprain
d. Retrocalcaneal bursitis

A

a. Achilles tendinitis

33
Q

Following direct trauma and contusion, extreme care must be taken in the management of myositis ossificans. The muscle MOST OFTEN affected is the:

a. triceps
b. biceps brachii
c. quadriceps femoris
d. soleus

A

c. quadriceps femoris

34
Q

Your patient presents to the clinic with anterior knee pain that worsens when squatting or jumping and uphill running. You know that this condition is caused by
repeated eccentric overloading during deceleration activities. Also known as “jumper’s knee”, what is this condition?

a. Achilles tendinitis
b. Chondromalacia patella
c. Patellar tendinitis
d. ACL sprain

A

c. Patellar tendinitis

35
Q

A teenager comes to an outpatient facility with complaints of pain at the tibial tubercle when playing basketball. The therapist notices that the tubercles are
abnormally pronounced on bilateral knees. What condition does the patient most likely have?

a. Jumper’s knee
b. Runner’s knee
c. Osgood-Schlatter disease
d. ACL sprain

A

c. Osgood-Schlatter disease

36
Q

What is the most commonly damaged bursa in the knee?

a. Pes anserine bursitis
b. Baker’s cyst
c. Housemaid’s knee
d. Nun’s knee

A

c. Housemaid’s knee

“Prepatellar”

37
Q

Wagner classification stage 1:

a. Intact skin
b. Deep with osteomyelitis/abscess
c. Superficial/Local ulcer
d. Gangrene of whoe foot
e. Partial gangrene of foot

A

c. Superficial/Local ulcer

A: 0
B: 3
D: 5
E: 4

38
Q

A 29-year-old woman is referred to a therapist with a diagnosis of recurrent ankle sprains. The patient has a history of several inversion ankle sprains within the
past year. No edema or redness is noted at this time. Which of the following is the best treatment plan?

a. Gastrocnemius stretching, ankle strengthening,
and ice
b. Rest, ice, compression, elevation, and ankle
strengthening
c. Ankle strengthening and a proprioception program
d. Rest, ice, compression, elevation, and
gastrocnemius stretching

A

c. Ankle strengthening and a proprioception program

No need mag ice kasi walan namang edema

39
Q

While gait training a patient following a stroke, the therapist observes the knee on the hemiparetic side going into recurvatum during stance phase. What is the MOST LIKELY cause of this deviation?

a. A tight gluteus maximus
b. Tight hip flexors
c. Weakness or severe spasticity of the quadriceps
d. A tight gastrocnemius-soleus complex

A

c. Weakness or severe spasticity of the quadriceps

40
Q

A patient presents with flatfoot deformity. The therapist recognizes that this can result from injury to muscle tendon. Which structure should be examined?

a. Anterior tibialis tendon
b. Posterior tibialis tendon
c. Fibularis longus tendon
d. Achilles tendon

A

b. Posterior tibialis tendon

41
Q

Osteochondritis dissecans occurs most commonly in the:

a. Capitellum
b. Humeral condyle
c. Medial femoral condyle
d. Lateral femoral condyle

A

c. Medial femoral condyle

If mas specific: Lateral aspect of the medial femoral condyle

42
Q

You evaluate your patient who is a runner. He complaints to have posteromedial leg pain while running which he associates with improper foot wear cushioning. The pain subsides with rest. Upon palpation, you noted tenderness of the tibial crest area. What is the BEST diagnosis for this patient?

a. Achilles tendinitis
b. Shin splints
c. Ankle sprain
d. Retrocalcaneal bursitis

A

b. Shin splints

43
Q

On physical examination of an infant patient, you observe that the forefoot is positioned lateral, the hind foot is in valgus, and the foot is in full dorsiflexion. This results simply from a large infant in too small of a space, and the condition improves spontaneously. What is this deformity?

a. Calcaneovalgus
b. Calcaneovarus
c. Equinovarus
d. Equinovalgus

A

a. Calcaneovalgus

44
Q

What do you call this foot deformity in which there is a transverse plane deformity with adduction of all of the
five metatarsals, which occurs at the tarsometatarsal joint?

a. Metatarsus adductus
b. Metatarsus varus
c. Metatarsus adductovarus
d. Forefoot adductus

A

a. Metatarsus adductus

45
Q

A therapist is scheduled to treat a patient with cerebral palsy who has been classified as a spastic quadriplegic. Your patient presents with the foot adducted, inverted and plantarflexed. What type of
orthopedic deformity should the therapist expect to see in a patient’s feet?

a. Talipes equinovalgus
b. Talipes equinovarus
c. Clubfeet
d. B & C are correct

A

d. B & C are correct

46
Q

You examine your patient who presents to the rehab with complaints of plantar heel pain associated with retrocalcaneal bursitis. You palpate the calcaneal
tuberosity at the distal end of the Achilles tendon and you indicate that he is positive for “pump bump”. What is the BEST diagnosis for this patient?

a. Achilles tendinitis
b. Haglund deformity
c. Calcaneovalgus
d. Sever’s disease

A

b. Haglund deformity

47
Q

Hallux valgus describes a deformity of the first MTP joint, in which the proximal phalanx is deviated laterally with respect to the first metatarsal. Hallux valgus is
considered normal if it is less than _____.

a. 20 degrees
b. 25 degrees
c. 15 degrees
d. 30 degrees

A

c. 15 degrees

48
Q

Your patient has a history of recurrent lateral ankle sprain and increased symptoms when walking or running on uneven terrain as compared with an even
terrain. Upon evaluation, she has inability to maintain quiet stance during single standing. What is the MOST likely diagnosis for this patient?

a. Chronic lateral ankle instability
b. Plantar fasciitis
c. Morton’s neuroma
d. Metatarsalgia

A

a. Chronic lateral ankle instability

49
Q

Your 40-year-old male patient was playing basketball and describes hearing a pop and feeling as though someone kicked him in the back of the leg. The most common injury and special test to assess the problem is ________.

a. Anterior cruciate ligament tear, Lachman’s test
b. Achilles tendon rupture, Ober’s test
c. Anterior cruciate ligament tear, Thomas test
d. Achilles tendon rupture, Thompson test

A

d. Achilles tendon rupture, Thompson test

Code: Achilles THOMSPON

50
Q

A 19-year-old male football player had injury to the anterior aspect of the leg and complains of severe pain over the area of injury. On PE, stretching of the ankle
dorsiflexors is very painful. The skin is red, glossy, warm and tender. The MOST likely diagnosis is ___.

a. Contusion of the peroneal nerve
b. Rupture of the plantaris tendon
c. Anterior compartment syndrome
d. Fracture of the fibula

A

c. Anterior compartment syndrome

Boards Flashcards (57 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions